Ensuring Adequate Documentation to Prevent Denials and Penalties

In recent years, the Evaluation and Management (E&M) section of CPT® has undergone significant transformations, and the year 2024 is no exception. With a focus on enhancing efficiency in documentation and simplifying the process, revisions are set to address concerns surrounding the latest documentation guidelines. Additionally, a new CPT® code is being introduced within the E&M section, offering opportunities for providers. Furthermore, changes are in the works for the CMS Physicians Fee Schedule Final rule in 2024, particularly impacting E&M services delivered via telehealth, now that the Public Health Emergency has concluded.

Webinar Objectives

• Exploring the Significance of E&M Codes in Various Physician Specialties
• Understanding the Determination of Service Levels Through Medical Documentation Review
• Analyzing the Flexibility in Choosing Methods for Each Patient
• Examining Reimbursement Variations Across Service Levels
• Addressing Recent Changes and Common Concerns in E&M Coding
• Highlighting the Role of Insurance Audits in Detecting Fraud and Abuse, and Their Impact on Reimbursement and Penalties

Webinar Agenda

• Exploring the Changes in E&M Coding Requirements
• Identifying Necessary Documentation Adjustments
• Ensuring Documentation Adequacy for Code Compliance
• Emphasizing the Role of Education and Knowledge Sharing for Staff
• Understanding the Importance of Accurate and Comprehensive Documentation

Webinar Highlights

• Revisions to many codes by clarifying the requirements when time is the chosen method
• Description changes for shared/split visits
• Can we now report multiple E&M visits on the same day?
• New guidelines related to codes in which to determine the level of service is time.
• Inpatient and observation guideline changes
• Addition of guidelines and tables for the prolonged service with direct contact
• The first year of an E&M code as an add on for pelvic examinations

Who Should Attend

Coders, Auditors, Billers, Compliance, Physicians, Physicians Assistants, Advanced Nurses, Medical Assistants, Scribes